I hereby consent to voluntarily engage in a plan of fitness training activities with Essential Habits, LLC, The Wellness Hub. The levels of exercise I perform will be based upon assessments of my cardiorespiratory function, strength levels, and movement patterns examined during a preliminary evaluation before the first workout. The program will be modified based upon the findings of the assessment along with any information regarding health conditions and/or injury history that I’ve Provided.
I do hereby further declare myself to be suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in a fitness program. I do hereby acknowledge that I have been informed of the need for a physician’s approval for my participation in any exercise activities. I acknowledge that I have either had a physical examination and have been given my physicians’ permission to participate, or that I have decided to participate without the approval of my physician and do hereby assume all responsibility and risks for my participation in said activities, programs, and use of equipment.
If I am taking prescribed medications, I will provide a complete listing of the medications I take. I understand that the fitness trainer will not make medication recommendations, but advises me to check with my physician to see if there are any contraindications related to the use of any of the medicines. I agree to inform my fitness trainer of any changes my doctor or I make with regard to the use of prescription drugs.
I have been informed that during my participation in fitness training programs, I will voluntarily complete the physical activities unless symptoms such as fatigue, shortness of breath, chest discomfort, or similar occurrences appear.At any point, I understand that it is my complete right to decrease or stop exercise, and it is my obligation to inform the fitness trainer of my symptoms. I understand and have been informed that there exists the possibility of bodily injury occurring during exercise including, but not limited to: abnormal blood pressure, fainting, dizziness, disorders of heart rhythm; in rare instances heart attack, stroke, paralysis, or death; and injuries to muscles, ligaments, tendons, and joints. I have been informed every effort will be made to minimize these occurrences by proper staff observation, supervision, and related action in line with personal training competency standards.
I hereby understand and accept all risks associated with exercise, including the risk of bodily injury, heart attack, stroke, paralysis, or even death, and knowing these risks, it is my desire to participate as herein indicated and to assume full responsibility for my participation. I agree to hold Essential Habits, LLC, The Wellness Hub, their employees, agents, contractors, and associated partners harmless for injury, cardiorespiratory incident, or death. I do hereby for myself and on behalf of my spouse, heirs, assigns, personal representatives and next of kin, hereby release, indemnify, and hold harmless the company and their contractors and/or employees with respect to any and all injury, disability, death, or loss or damage to person or property.
I hereby grant permission to Essential Habits, LLC, The Wellness Hub, their employees, agents, contractors, and associated partners to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.
I agree that this Release Of Liability Agreement is to be construed and governed under the laws of the State of South Carolina, and that if any portion is held invalid, the balance hereof shall continue in full legal force and effect. I acknowledge that I have read this entire Agreement, I understand its terms and that I have had the time and opportunity to read and ask questions.Also, I acknowledge that I’ve signed the Agreement knowingly and voluntarily, and that by signing it, I understand that I am accepting the conditions thereof.
